Blunt Abdominal Trauma Scoring System (BATSS) Versus Fast in Assessment of Blunt Trauma Abdomen: An Observational Study

Introduction: Abdominal trauma can be due to either penetrating or blunt force with the later comprising of 80% of all. BATSS is a 24 point scoring system based on 7 variables combining clinical findings and investigations to diagnose intra abdominal injuries and decide on further management. Objective: To compare the sensitivity and specificity of BATSS and FAST blunt abdominal trauma patients with CECT as gold standard. Methodology: This was a prospective observational study conducted in surgery department of Mathura Das Medical College and Mahatma Gandhi Hospital attached to Dr. S.N. Medical College, Jodhpur on 100 patients with blunt abdominal trauma in 2023-24 Results: FAST has a lower specificity as compared to BATSS leading to a large number of false positive results. Male are more prone to trauma with a ratio of 11:1. BATSS with a good sensitivity can be used a method of triage in trauma as well as an indicator for referral of high risk patients in resource poor areas.